Kregenow, Lily Tadayyon
Kregenow, Lily Tadayyon is an individual health care provider with primary practice located at 316 Martin Luther King Jr Way 212, Tacoma WA 98405-4252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kregenow, Lily Tadayyon can be contacted via phone (253) 383-5777.Contact Information
Primary practice address
316 Martin Luther King Jr Way 212
Tacoma WA 98405-4252
Phone: (253) 383-5777
Fax: (253) 627-0855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00048510 | Washington |
Profile Details
| NPI number | 1992766117 |
|---|---|
| LBN Legal business name | Kregenow, Lily Tadayyon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Sep 21st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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